Heterogeneity in gender dysphoria in a Brazilian sample awaiting gender-affirming surgery: a data-driven analysis

Silva, Dhiordan Cardoso; Rabelo‐da‐Ponte, Francisco Diego; Salati, Leonardo Romeira; Lobato, Maria Inês Rodrigues

doi:10.1186/s12888-022-03727-3

Cited by 4 publications

(2 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One plausible explanation for this observation is the existence of a financial support program in Brazil dedicated to specialized healthcare services, including organ transplants, cancer treatment, and gender-affirming procedures, which facilitates patient transportation to access such services, including those offered by PROTIG. However, considering that the majority of our patients originate from economically disadvantaged backgrounds, we speculate that the influence of this factor may be underestimated ( 17 ). It is conceivable that there exists an unmeasured subgroup of patients who encounter difficulties in attending appointments, even when the distance is less than 100 kilometers.…”

Section: Discussionmentioning

confidence: 99%

Medical care for transgender individuals at a hospital in southern Brazil: why do they drop out from our service?

Guadagnin,

Schwarz,

Cardoso da Silva

et al. 2024

Front. Public Health

Self Cite

View full text Add to dashboard Cite

ObjectiveThe objective of the study was to investigate dropout rates and discern potential factors contributing to the discontinuation of treatment provided to transgender individuals by the Transdisciplinary Gender Identity Program at the Hospital de Clínicas de Porto Alegre (PROTIG).MethodologyThis study employs a descriptive, cross-sectional, retrospective design to analyze socio-demographic and clinical data obtained from medical records of patients treated at PROTIG between 2000 and 2018. A structured form, devised by PROTIG’s professional team, was utilized to extract and evaluate several variables including: age, gender, education level, diagnosis of F64 according to the International Classification of Diseases (ICD-10: Version: 2010), clinical comorbidities (coded by ICD-10), laboratory diagnosis of sexually transmitted infections, distance between patients’ residence and the hospital, and year of entry into PROTIG. The patient cohort was stratified into two categories based on their duration of attendance: dropout (defined as attendance for up to 365 days) and non-dropout (attendance exceeding 365 days). Categorical variables between dropout and non-dropout groups were compared using Pearson’s chi-square test. Additionally, Poisson regression analysis was utilized, employing a 95% confidence interval (CI) and setting the significance level at 0.05.ResultsThe study included a total of 888 patients accessing PROTIG, with 275 (31%) classified in the dropout group. Of the patient population, 65.5% (n = 582) self-identified as transgender women, while 34.5% (n = 306) identified as transgender men. Significant differences were noted between the dropout and non-dropout groups. Specifically, differences were noted among transgender women (p < 0.001), individuals with lower levels of education (p < 0.001), those with fewer diagnoses classified under ICD-10 as F64 (p < 0.001), individuals exhibiting fewer clinical comorbidities recorded in ICD-10 (p < 0.001), and those who commenced inclusion in PROTIG after 2010 (p < 0.001).ConclusionThere exists a notable rate of treatment discontinuation among individuals receiving care at PROTIG, with statistically significant variances observed between groups. We posit potential rationales for this discontinuation, informed by care experiences and feedback from group attendees: Increased accessibility to outpatient services in our jurisdiction for Transgender Care, along with heightened societal awareness of gender identity fostering diverse gender expression avenues devoid of reliance on gender-affirming surgical interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

Medical care for transgender individuals at a hospital in southern Brazil: why do they drop out from our service?

Guadagnin,

Schwarz,

Cardoso da Silva

et al. 2024

Front. Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Статистический инструмент исследований на основе кластерного подхода использовался российскими учеными для решения традиционных задач при группировке множеств объектов в фармацевтическом маркетинге [15][16][17]. В зарубежной литературе публикации с использованием идеологии кластерного анализа, как одного из инструментов исследования науки количественными методами, представлены практически во всех областях здравоохранения: в менеджменте [18]; в психиатрии [19,20]; при исследовании распространения пандемии COVID-19 [21]; в фармакогнозии [22,23]; в фармакологии [24,25].…”

Section: результаты и обсуждениеunclassified

Cluster Analysis of Integrated “Drug Supply” Concept

Barkaev

Кабакова

Goryachev

2022

Farm. farmakol. (Pâtigorsk)

View full text Add to dashboard Cite

The aim of the article is the structure and content specification of the subject area professional term “drug supply” in order to deepen and concretize the conceptual apparatus in the field of the pharmaceutical activity.Materials and methods. The review presents the analysis of 389 titles of scientific pharmaceutical publications for the periods of 1995–1998 and 2010–2019. The selection of publications was carried out by the random sampling based on the phrases: «drug provision», «medical care», «provision of medicines», «pharmaceutical care», «medicinal services», «drug supply» and their English-language counterparts in Russian and foreign electronic information sources. A methodological base of the study was a cluster analysis of the subject area concept of “drug supply” according to the methodology proposed by E.A. Korzhavykh and I.V. Voronovich. In this study, a cluster was interpreted as a set of publications in which a certain pair of terms was simultaneously cited with a preset frequency of co-citation.Results. When analyzing the publications, two clusters of the “drug supply” concept were formed for the time periods indicated above. The comparison of the clusters showed an increase in the activity of the scientific research to expand the structure and content of the subject area of the “drug supply” concept. For the modern cluster, 124 co – cited pairs of lexical units were selected. They were grouped into 9 hierarchy levels according to the strength of relationship between an interval of 10 units and mentioning frequencies of the “drug supply” term. At the final stage, a graphical model of the “drug supply” concept cluster was formed. It was established that the lexical units included from the first to the fifth level, are the cluster nucleus of the “drug supply” concept as the most stable part of the lexical array, which it is advisable to rely on when developing a definition for the concept under study.Conclusion. Thus, the subject field of the “drug supply” concept is characterized by the scientific research, reflecting the socio-economic significance of the objects under study in the field of pharmaceutical activities, and its content is characterized by a high level of pharmaceutical knowledge which describes the most stable elements that make it possible to formulate an adequate definition of the “drug supply” definition.

show abstract